| NPI | 1912288390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32486) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103757) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-04-10 |